外伤住泪腺脱位伴血肿比较少见,作者遇1例报告如下: 患者男,44岁,1小时前右眼被他人肘部击伤,伤后右眶部急剧肿胀、疼痛,于1991年1月16日来我院就诊。检查:视力:右1.0,左1.2。右眼外上眶缘明显肿胀,充血及皮肤表浅擦伤。可触及一约4×3×3cm圆形肿物,能向上、向左右两侧移动,但向下移动受限,触痛明显,有囊性感,眼睑皮下无淤血,眼球活动良好,球结膜轻度充血,角膜光滑透明,前房无渗出及出血。眼底未见明显异常。嘱患者局部冷敷,3日后肿块无明显缩 The case of traumatic lacrimal gland dislocation associated with hematoma is relatively rare, the author encountered a case as follows: The patient male, 44 years old, 1 hour before the right eye was elbow injury, severe right orbital swelling after injury, pain, January 16, 1991 Day in our hospital. Check: Vision: right 1.0, left 1.2. Right orbital margin of the right eye was significantly swollen, hyperemia and superficial skin abrasions. Can reach about 4 × 3 × 3cm circular tumor, can move up, to the left and right sides, but the downward movement is limited, tenderness obvious, cystic sexy, no congestion under the skin eyelid, good eyeball activity, conjunctival light Degree congestion, corneal smooth and transparent, anterior chamber without exudation and bleeding. Fundus no obvious abnormalities. Zhu Huanzhe local cold, no significant shrink after 3 days